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Soft A > Lect Fin > Flashcards

Lect Fin Flashcards

1
Q

Endobronchial obstruction can cause atelectasis and can also be associated w/ ___ and ___:

A

Localized air trapping

Obstructive pneumonitis

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2
Q

Clinical suspicion on bronchiectasis that may mimic honeycomb lung is confirmed by which imaging process?

A

Pulmonary CT

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3
Q

Inverse square law and grid rull means a 40” FFD 12:1 grid technique and a 72” FFD non-grid technique will:

A

Be the same

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4
Q

Which of the following signs would point to air space consolidation?

A

Early appearance
Respiratory zone shadows
(4, 5)

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5
Q

A common cause of reticular pulmonary pattern is:

A

Pulmonary fibrosis

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6
Q

Which of the following would not be considered a cause of unilateral hyperlucent lung?

A

Pleural effusion

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7
Q

Which of the following are signs of interstitial disease?

A 
Kerley A lines
Honeycomb densities
1-2 mm nodules
Kerley B lines
(1, 2, 3, 5)
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8
Q

Which of the following are signs associated w/ resorption atelectasis:

A

Vascular crowding early
Hilar shift toward density
Rib interspace narrowing
(1, 3, 4)

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9
Q

Which one of the following is not an acute pneumonia?

A

Histoplasma

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10
Q

Pulmonary consolidation in this segment could cause a silhouette sign with the pulmonary artery?

A

LUL #2

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11
Q

Bronchopneumonia pattern is typical of:

A

Staph aureus pneumonia

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12
Q

Pulmonary consolidation in this segment could cause a silhouette sign w/ the upper thoracic aorta.

A

LLL #6

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13
Q

A classic cause of lobar opacification is:

A

Streptococcus pneumoniae

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14
Q

Chronic diffuse interstitial lung disease may be due to:

A

Sarcoidosis

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15
Q

Which of the following would not be associated with an air bronchogram sign?

A

Resorption atelectasis

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16
Q

Which of the following would typically be associated w/ interstitial disease?

A

Mycoplasmal pneumonia

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17
Q

A PA chest image done at 120kVp instead of 100kVp would require which change in mAs?

A

50% decrease

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18
Q

In children, resorption atelectasis related to large bronchial obstruction is often due to: pick 2

A

Foreign object aspiration

Asthma

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19
Q

The most common causes of acute interstitial lung disease: pick all correct choices

A

Pulmonary edema

Viral pneumonia

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20
Q

In young patients, <30, unilateral localized increasing density is more often related to:

A

Infection pneumonia

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21
Q

Most diffuse interstitial disease is ___ and most air space consolidation is ___.

A

Chronic, acute

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22
Q

Of the pulmonary infections, cavitation may occur with: Pick all correct

A

Staph aureus pneumonia

Klebsiella pneumonia

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23
Q

The basics of lung disease tell us the lung has a limited ability to react to disease. The interstitium can ___ the alveoli can fill with ____.

A

Thicken or thin; b, p, w, p, c, or extra air.

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24
Q

Air space replacement disease may be indicated on plain film by:

A

Fuzzy localized density

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25
Q

On a chest series, the findings are: unilateral, localized, homogenous increase in radiodensity. What are the next considerations?

A

Is it consolidation?
Is it tumor?
Is it atelectasis?
(1, 3, 5)

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26
Q

Which of the following are complications of honeycomb lung?

A

Pneumothorax

Cor pulmonale

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27
Q

On a chest series, the findings are: bilateral, widespread, non-homogenous increase in radiodensity. What are the next considerations?

A

Is it reticular?
Is it nodular 3-5mm?
Is it nodular 1-2mm?
Is it honeycomb?

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28
Q

Which accessory fissure involves parietal pleura?

A

Azygos fissure

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29
Q

Which of the following are descriptive of Kerley B lines: Pick all correct

A

Thickened interlobular septa
Perpendicular to the pleura
.5-2cm long

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30
Q

The superior accessory fissure:

A

Seen on PA and lateral view

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31
Q

Match condition w/ explanation:

Aspiration pneumonia

A

Segment 5 or 7

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32
Q

Match condition w/ explanation:

Staph aureus

A

Peds. pneumatocele

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33
Q

Match condition w/ explanation:

Pulmonary arteries

A

Honeycomb lung direct impact

34
Q

Match condition w/ explanation:

Pleural effusion

A

May simulate elevated hemidiaphragm

35
Q

Streptococcus pneumoniae

A

Peripheral consolidation initially

36
Q

When the lingula is atelectic:

A

Compensatory emphysema may be only indirect sign

37
Q

What is the principal mechanism for atelectasis w/ a large hilar related neoplasm?

A

Obstructive

38
Q

Which of the following is not charactereistic of a PA upright, frontal, full inspiration chest view:

A

Heart will show maximum size

39
Q

Expiration and AP supine chest radiographs show ___ when compared to upright PA:

A

Larger blood vessels, whiter lungs

40
Q

All of the following would be better visualized on the expiratory film except:

A

Pleural effusion

41
Q

Direct blunt trauma to the chest may result in pulmonary contusion or:

A

Pulmonary laceration

42
Q

Left mediastinal anatomy ordered correctly from superior to inferior:

A

Aortic knob, pulmonary artery, left atrium, left ventricle

43
Q

The “air bronchogram” sign:

A

Canals of Lambert inpact

44
Q

With the silhouette sign, which is an incorrect statement:

A

Is useful with consolidation, atelectasis, or interstitial disease

45
Q

The numerical value of tissue density on a CT scan is called Hounsfield units and the typical value for water is:

A

0

46
Q

Which of the following is not a consolidation sign?

A

Late coalescence

47
Q

“Air bronchogram sign”:

A

Visible air filled bronchi surrounded by opacified lung

48
Q

A full inspiration PA chest projection will show:

A

Left cardiac - medial diaphragm silhouette sign

49
Q

Kerley A and B lines are indicative of ___ and associated w/ ___:

A

Interstitial disease / pulmonary edema

50
Q

Metastasis to the lung from rectosigmoid carcinoma would present as:

A

Multiple pulmonary nodules > 8 mm

51
Q

Localized hyperlucency (extreme right side of the flow chart) is seen with all of the following except:

A

Emphysema

52
Q

The most common causes for airspace consolidation are:

A

Water and pus

2, 4

53
Q

Lower left heart border “silhouette sign” may be produced by:

A

LUL #5 pneumonia

54
Q

Suspected pneumothorax on a full inspiration PA chest view would be confirmed most cost-effectively by:

A

Exiration

55
Q

The most common cause for adult resorption atelectasis is:

A

Bronchogenic cancer

56
Q

Which of the following is not part of the criteria for the usual frontal chest view?

A

75-90 kVp

57
Q

Which of the following is an incorrect statement regarding the right ventricle?

A

Makes up the right heart border along with the right atrium on the frontal view

58
Q

Hilar bronchogenic cancer can have an impact on all of the following nerves except:

A

Right Recurrent laryngeal

59
Q

On chest CT the Hounsfeld # for pure air is ___ and water ___?

A

-1,000

0

60
Q

Which of the following hilar anatomy structures would typically produce unilateral hilar enlargement?

A

Bronchus

61
Q

On the frontal PA chest view, which cardiac chamber does not border form?

A

Right ventricle

62
Q

Which of the following is an incorrect statement regarding the pulmonary artery, on the PA chest view:

A

Should superimpose over the left hilus

63
Q

Which of the following is not a fibrous pattern:

A

Nodular 3-5 mm densities

64
Q

Using the radiographic divisions, the greatest collection of lymph nodes is in (the):

A

Middle mediastinum

65
Q

All of the following are true statements regarding mediastinal lymph nodes except:

A

Can be detected on CT only when calcified or > 3cm

66
Q

Left lateral decubitus view is made w/ the patient:

A

Lying on the left side w/ the x-ray beam parallel to the floor

67
Q

With a large amount of free pleural fluid:

A

There will be localized water density

68
Q

All of the following are acute pneumonia radiographic appearances except:

A

Well-defined nodular density

69
Q

Best imaging for suspected pleural effusion confirmation would be ___ or ___: pick 2

A

Lateral decubitus w/ affected side down

CT

70
Q

Air space disease may be indicated on plain film by:

A

A butterfly pattern of density w/ air bronchogram

71
Q

Transverse aortic arch would be considered ___ mediastinal: Radiographic divisions

A

Middle

72
Q

An ascending aortic aneurysm would produce: Radiographic divisions

A

Anterior mediastinal mass

73
Q

All are correct statements regarding the importance of understanding the pulmonary lymphatic drainage channel schematic called big orange except

A

Explains the reticular vs nodular pattern

74
Q

Ascending aortic aneurysm of Marfan’s syndrom would produce a(n): radiographic divisions

A

Anterior mediastinal mass

75
Q

Based on the “acute pneumonia classification”, the most likely appearance for viral/mycoplasma pneumonia is:

A

Interstitial pattern

76
Q

Match correct explanation:

Resorption atelectasis

A

Can result from tumor or asthma

77
Q

Match correct explanation:

Acinodular pattern

A

Widespread 5-8mm “dot” pattern

78
Q

Match correct explanation:

Asthma

A

Localized air trapping

79
Q

Match correct explanation:

PA chest view

A

7 and 8 silhouette diaphragm

80
Q

Match correct explanation:

Honeycomb lung

A

Cor pulmonale

81
Q

Granulomatous causes of pulmonary cavitation: pick 2

A

Rheumatoid

Wegener’s

Soft A (1 decks)

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